2025-08-14T12:43:35-05:00 2024-12-31 390859910 BAKER TILLY ADVISORY GROUP LP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2024-01-01 946050476 NORTHERN CALIFORNIA CONGREGATIONAL RETIREMENT HOMES INC NORT 8316241281 8545 CARMEL VALLEY ROAD CARMEL CA 93923 JAY ZIMMER CEO 8316241281 2025-08-13 1 0 MICHAEL LUMSDEN P01262236 4159561500 2025-08-07 2024 2025-03-06 01:10:19Z CARMEL VALLEY MANOR JAY ZIMMER 8545 CARMEL VALLEY ROAD CARMEL CA 93923 36924534 0 X WWW.CVMANOR.COM X 1960 CA TO PROVIDE HIGH QUALITY LIFE CARE FOR OLDER ADULTS IN A SAFE, ATTRACTIVE, AND CONGENIAL ENVIRONMENT, WHERE RESIDENTS CAN LIVE AND ENJOY AN ACTIVE AND SOCIALLY RESPONSIBLE ROLE IN THE COMMUNITY. 11 11 164 14 0 0 997612 1220307 21575624 23536757 1331099 1749892 0 0 23904335 26506956 30227 161763 0 0 12814624 12927534 0 0 0 12328042 13183304 25172893 26272601 -1268558 234355 99599281 108350492 80441552 87849514 19157729 20500978 TO FOSTER A VIBRANT COMMUNITY OF ENGAGED ELDERS SEEKING HOLISTIC HEALTH, WELLBEING, AND PURPOSEFUL LIVING. 0 0 19760716 161763 23536757 CARMEL VALLEY MANOR IS LOCATED IN CARMEL VALLEY, CALIFORNIA. WITH 28 ACRES OF HILLSIDE LANDSCAPE GARDENS, THE ORGANIZATION PROVIDES SENIOR RETIREMENT LIVING WITH A LIFECARE OPTION THAT INCLUDES A MULTI-DIMENSIONAL AND HOLISTIC APPROACH TO LIFE. THE MANORS PHILOSOPHY INCLUDES THE DIMENSIONS OF SOCIAL, EMOTIONAL, SPIRITUAL, ENVIRONMENTAL, INTELLECTUAL, AND PHYSICAL WELLNESS. THE FACILITY CONSISTS OF 146 INDEPENDENT LIVING RESIDENCES, 24 ASSISTED LIVING UNITS, AND 36 MEDICAL CENTER ROOMS. RESIDENCE, MEALS, AND MOST MEDICAL CARE AND MISCELLANEOUS SERVICES WERE PROVIDED TO APPROXIMATELY 218 RESIDENTS IN 2024. THE MANOR HAS OVER 150 SKILLED AND WELL-TRAINED EMPLOYEES FOCUSED ON CREATING A CARING AND SUPPORTIVE COMMUNITY HELPING SENIORS CONTINUE PURPOSEFUL AND DIGNIFIED LIVING. 19760716 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 108 0 1 164 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X ANN-ELISE EMERSON 8316264872 8545 CARMEL VALLEY ROAD CARMEL CA 93923 SUSAN FREELAND CHAIR 2.00 2.00 X X 0 0 0 DAN LIMESAND VICE CHAIR 2.00 0.00 X X 0 0 0 STEVE MERRELL TREASURER 2.00 2.00 X X 0 0 0 LARRY FINCH SECRETARY 2.00 0.00 X X 0 0 0 TAMA BISTRIAN BOARD MEMBER 2.00 0.00 X 0 0 0 JIM GILBERT BOARD MEMBER 2.00 0.00 X 0 0 0 STEVEN JOHNSON BOARD MEMBER 2.00 0.00 X 0 0 0 NOLAN KENNEDY BOARD MEMBER 2.00 0.00 X 0 0 0 MARY SEIERSEN BOARD MEMBER 2.00 0.00 X 0 0 0 JOHN STAPLES BOARD MEMBER 2.00 2.00 X 0 0 0 KATHLEEN VENTIMIGLIA BOARD MEMBER 2.00 0.00 X 0 0 0 JAY ZIMMER PRESIDENT & CEO 40.00 5.00 X 358167 0 43654 ANN-ELISE EMERSON CHIEF FINANCIAL OFFICER 40.00 5.00 X 213551 0 46188 CHRISTINE REGAN COO & NH ADMINISTRATOR 40.00 0.00 X 183775 0 39540 KELLY URQUIDES DIRECTOR OF NURSING 40.00 0.00 X 127230 0 35353 EFREN AMANCIO NURSE 40.00 0.00 X 173363 0 31326 KYUNG JASMINE NURSE 40.00 0.00 X 128956 0 21890 MERCEDES ABLUTON PHYSICAL THERAPIST 40.00 0.00 X 130607 0 3790 LISA HOOK IP NURSE 40.00 0.00 X 123200 0 21723 1438849 0 243464 19 0 1 0 STEVE MILNE CONSTRUCTION 49 LOS OSITOS CARMEL VALLEY CA 93924 CONSTRUCTION SERVICES 2020883 COREWORKS 13028 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 HOUSEKEEPING & LAUNDRY SERVICES 838369 MONTEREY PENINSULA ENGINEERING PO BOX 400 MARINA CA 93933 ENGINEERING SERVICES FOR CAPITAL PROJECT 761067 ALVAREZ TECHNOLOGY GROUP 209 PAJARO STREET SUITE A SALINAS CA 93901 IT SERVICES 308000 HAUPT & ASSOCIATES PO BOX 1897 MONTEREY CA 93942 CAPITAL PROJECT MANAGEMENT SERVICES 248993 7 626064 594243 40218 1220307 RESIDENT CARE FEES 623000 16409497 16409497 ENTRANCE FEES 623000 6531056 6531056 OHTER OPERATING INCOME 623000 596204 596204 23536757 803880 803880 577253 577253 10786337 10417578 368759 368759 368759 26506956 23536757 0 1749892 161763 161763 884874 223314 661560 8782801 7659925 1122876 169168 153196 15972 2357280 2084308 272972 733411 628809 104602 92597 92597 95078 95078 1691240 1503308 187932 122634 122634 183061 143419 39642 225683 225683 1510485 1510485 22810 3324 19486 3003 3003 1701280 1701280 4058747 4036303 22444 1469655 1469655 FOOD 1018330 1010568 7762 REPAIRS, MAINTENANCE, A 364066 364066 LICENSES & PERMITS 88253 8876 79377 RECRUITING & FINGERPRI 87653 12439 75214 448729 256613 192116 26272601 19760716 6511885 0 500851 2150242 962370 1000006 291863 142198 275000 275000 1053385 1127053 108132331 47029692 54524301 61102639 41658357 42184337 333154 369017 0 0 99599281 108350492 3060949 2982414 39434324 46751335 36495942 35913582 1450337 2202183 80441552 87849514 X 18816040 20255084 341689 245894 19157729 20500978 99599281 108350492 X 234355 1097423 11471 X 0 1 X 1 0 X 2645396 1533160 1240762 997612 1220307 7637237 17928487 17214236 19486925 21575624 23536757 99742029 20573883 18747396 20727687 22573236 24757064 107379266 524916 559728 631584 906862 950869 3573959 0 524916 559728 631584 906862 950869 3573959 103805307 555810 850328 706222 1369048 1381133 4862541 555810 850328 706222 1369048 1381133 4862541 21129693 19597724 21433909 23942284 26138197 112241807 0.92480 0.92980 0.04330 0.03970 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1853960 1853960 84498122 43891997 40606125 5325975 3137695 2188280 16454274 16454274 61102639 ADVANCES FROM APPLICANTS 1847639 ANNUITY OBLIGATIONS 354544 2202183 X PART X, LINE 2: THE MANOR AND THE FOUNDATION ARE EXEMPT FROM UNITED STATES FEDERAL AND CALIFORNIA INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND THE CORRESPONDING CALIFORNIA PROVISIONS, EXCEPT TO THE EXTENT OF UNRELATED BUSINESS INCOME (UBIT) AS DEFINED BY THE IRC. THE ORGANIZATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY THAN- NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2024. 1 CARMEL VALLEY MANOR FOUNDATION 8545 CARMEL VALLEY ROAD CARMEL CA 93923 822771192 501(C)(3) 161763 0 TO SUPPORT FOUNDATION OPERATIONS 1 0 PART I, LINE 2: THE ORGANIZATION PROVIDES GRANTS TO CARMEL VALLEY MANOR FOUNDATION, A RELATED ORGANIZATION. MONITORING OF USE OF GRANTS FUNDS IS ACCOMPLISHED THROUGH OVERLAPPING MANAGEMENT OF BOTH ORGANIZATIONS. X X 0 0 0 0 0 0 0 0 0 JAY ZIMMER PRESIDENT & CEO 358167 0 0 0 0 0 8696 0 34958 0 401821 0 0 0 ANN-ELISE EMERSON CHIEF FINANCIAL OFFICER 213551 0 0 0 0 0 1783 0 44405 0 259739 0 0 0 CHRISTINE REGAN COO & NH ADMINISTRATOR 183775 0 0 0 0 0 5814 0 33726 0 223315 0 0 0 EFREN AMANCIO NURSE 173363 0 0 0 0 0 5122 0 26204 0 204689 0 0 0 KELLY URQUIDES DIRECTOR OF NURSING 127230 0 0 0 0 0 3912 0 31441 0 162583 0 0 0 KYUNG JASMINE NURSE 128956 0 0 0 0 0 3849 0 18041 0 150846 0 0 0 A CALIFORNIA MUNICIPAL FINANCE AUTHORITY 201563466 13048VF29 2022-09-08 39482802 CONSTRUCT AND EQUIP FACILITIES 0 0 0 A 565000 39482802 1218656 710690 1865400 27285558 8402498 0 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 JAY ZIMMER PRESIDENT & CEO HOUSING LOAN X 275000 275000 0 1 1 275000 X 1 40218 FAIR MARKET VALUE 0 0 1 0 PART I, COLUMN (B): THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED (DEFINED AS EACH SEPARATE GIFT) IN SCHEDULE M, PART I, COLUMN (B). FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT TAX ACCOUNTANT IN CONJUNCTION WITH THE ORGANIZATION'S ACCOUNTING AND FINANCE DEPARTMENT. A DRAFT FORM 990 IS REVIEWED BY MANAGEMENT; ADJUSTMENTS ARE MADE, AS NECESSARY. A COMPLETE COPY OF THE FORM 990 IS MADE AVAILABLE TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY WHICH COVERS ALL EMPLOYEES AND VOTING MEMBERS OF THE BOARD OF DIRECTORS ("COVERED INDIVIDUAL"). UNDER THE CONFLICT OF INTEREST POLICY, EACH COVERED INDIVIDUAL HAS AN ONGOING DUTY TO DISCLOSE TO THE PRESIDENT/CEO (OR THE BOARD, IN THE EVENT THE CONFLICTED INDIVIDUAL IS THE PRESIDENT/CEO) THE EXISTENCE OF AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST. THE CONFLICTED INDIVIDUAL IS NOT PERMITTED TO PARTICIPATE IN THE DELIBERATIONS OR DECISIONS REGARDING THE ACTUAL OR POTENTIAL CONFLICT OF INTEREST WHILE ITS DETERMINED IF THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS SETS THE CEOS COMPENSATION ANNUALLY, WHICH INCLUDES A BONUS BASED ON ANNUAL PERFORMANCE. TO DETERMINE APPROPRIATE COMPENSATION, THE BOARD UTILIZED A COMPENSATION STUDY (WHICH WAS LAST COMPLETED IN 2023) AS WELL OTHER INDUSTRY COMPENSATION STUDIES (INCLUDING LEADING AGE'S ANNUAL COMPENSATION STUDY FOR NURSING HOMES). CVM'S POLICY IS TO COMPLETE A LOCAL COMPENSATION BI-ANNUALLY. THE CEO SETS THE SALARIES AND INCENTIVE COMPENSATION PACKAGES FOR OTHER OFFICERS AND KEY EMPLOYEES BASED-ON THE AFOREMENTIONED COMPENSATION STUDY, TAKING INTO ACCOUNT EMPLOYEE PERFORMANCE. THIS IS ALSO REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS IN THE EXECUTIVE SESSION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST; COPIES ARE ALSO PLACED IN THE RESIDENT'S LIBRARY. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS 11,471. CARMEL VALLEY MANOR FOUNDATION 8545 CARMEL VALLEY RD CARMEL CA 93923 822771192 FUNDRAISING SUPPORT TO CHARITABLE ACTIVITY CA 501(C)(3) LINE 12A, I NORTHERN CALIFORNIA CONGREGATIONAL RETIREMENT HOMES INC 1 0 1 1 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 CARMEL VALLEY MANOR FOUNDATION B 161763 BOOK VALUE CARMEL VALLEY MANOR FOUNDATION C 626064 BOOK VALUE